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PERMIT APPLBCATI,ON <br />BUILDING/MEe:hlANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., EvereY�, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />��/�I ✓c111 �i <br />tornewconsWclion: Shoh <br />a <br />s <br />(attae� copy of lonp iegal desalpllon) <br />AN7:_Owner _OwneYsAgent _Conirador CaNradofsAponl TCOBOt�mu�lpre�tls�koerolmr¢arlPammxqrmroEOMOM1NNespon� <br />acroR M ve,� (�lu" � i ny ' State Lic. # MDeI� PI�+Y' > J U c�ir ao5 ��� a OS 3(03 S <br />�%7��7 ���5{"S� Sna ���Sc, wN 4ssz�v honNEma fr3(oT�c..�(47M�.�..�...-,�i�nN.ca.m. <br />PERMIT APPLICATIONi <br />Exlstin9 Use of Building <br />PF.iCE OF WORK <br />Proposetl Use of BuilCing_ � Gas___ Elennc OIMr <br />Building type: _ Single Femily _ Duplex _ Townhouse _ Mulli-Family _ Comme2ial <br />Typeofprojad. _Mcw _Additlon __Romodel Rapeir T.I Sign 5_nnkler_ Demolition Changu o(Use <br />�ESCRI PTI ON OF WORK (addrtiona� spacr pmv�ded on tno eack/: a <br />T�sd�N cl.�c.k �.t.4-�- 1�1z. ��n Si.�k �f' 4«k�-.�1� ��� <br />oFProJect: _Naw_AtlEn _Altoretion_Ropalr <br />ClolAcs <br />Number of <br />P�UMBING PERMIT APPLICA710N <br />af Projecl: _New _Addn _ AMnntlon _Ropalr <br />Show NumDw fN) of fia�uns <br />Othcr. <br />1 hcreby rnAAy Ih�l ( hnvn mpA nnd eumbvd IhN epplkaMinn anJ know Ilio wmoto ba �Ne �nJ orn�ct M P�'IYo�u M Inwe nneo�n�nce� poveminp �Ir� �.-. �, r�..pi:��f <br />vM�wl�MaflpeaAM�minornrA T1ieNnnl4rt�olnlK+�nXtlueanolyaav�mbpNnm�IttmRytoNOUleorrnnu�ll�eP�����Ya1�e�sinlnarloa�INN�r�: � <br />Thel 1�m snnmrsed 6y me mmn or Inl� piopeM �c pertortn me xvne fw wnlrn appllcalron Ls maEe and I mmDN � Ne Stalo Conlratlers Law 19 27 RCw nne 75�, . � <br />� %�--�L-- �f-�0 - I 3� <br />OwncdAuthodrnd Agan! 9ignelurc Ddle IRevised 3/701JJ <br />